NUR 229 - Adult Exam 3 Practice Questions and Correct Answers
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Course
NUR 229
Institution
NUR 229
What is the role of a nurse manager? planning, organizing, directing, and controlling nursing staff - also concerned with unit resources
How should you resolve conflict? compromise if there is a mutually agreeable solution - do not avoid, compete, or smooth - cooperate/accommodate with caution
Wh...
NUR 229 - Adult Exam 3 Practice
Questions and Correct Answers
What is the role of a nurse manager? ✅planning, organizing, directing, and controlling
nursing staff
- also concerned with unit resources
How should you resolve conflict? ✅compromise if there is a mutually agreeable
solution
- do not avoid, compete, or smooth
- cooperate/accommodate with caution
What is team nursing? ✅includes multiple differently licensed healthcare personnel
(RNs, UAPs/CNAs, etc.)
- delegation is vital
What is total patient care nursing? ✅a model of care overseen by a registered nurse
who provides one-on-one care to patients
- common in critical care/ICUs
- not as much responsibility as primary nursing
What is primary nursing? ✅one nurse plans all the care for one pt and is the primary
contact for that pt during their stay; does all tasks and leads all treatments
- more responsibility than total pt care
What is functional nursing? ✅each nurse is assigned a specific task for all pts
- ex: one nurse is responsible for all labs while another does all meds
- common in pre-op settings
How do you implement planned change in nursing practice? ✅planned change follows
a similar pattern to the nursing process
- assess a need for change
- identify/diagnose the issue to be solved through change
- determine solution/treatment options to fix the issue
- plan a course of action/plan of care from the possible solutions
- implement the selected plan for change
- evaluate the effectiveness of the change
- stabilize the change
What should you consider when creating planned change? ✅- feedback from those
who will be impacted
- what is available to be changed?
- is the group ready for a change?
, - how quickly should the change be made?
- are the changes major or minor?
How should you manage time with nursing care? ✅- establish goals and priorities for
each day
- be organized
- plan for prevention strategies; be proactive in planning pt care (ex: compression socks
to prevent DVT rather than waiting for DVT to happen)
How do you prioritize nursing care? ✅- Airway, Breathing, Circulation (ABCs)
- Maslow's hierarchy of needs
What is informed consent? ✅permission granted from the pt for a procedure to be
done
- only signed and accepted when the pt is educated on everything involved, especially
risks
What is the nurses role in informed consent? ✅- to witness the client's signature
- to ensure that informed consent has been appropriately obtained
- provide all necessary pt teaching
What is delegation? ✅the act of transferring a task to another person
- ex: RN -> UAP/CNA
What can be delegated? ✅- vital signs
- transferring
- ambulating
- hygiene
- feeding
- dressing
- most ADLs
What can never be delegated? ✅- unstable pts
- assessment
- evaluation
- medication administration
- pt education
- invasive procedures (ex: IV, foley, enema, etc.)
What is the goal of nursing care of the older adult? ✅- promote independent function
(ex: ADLs, meals, ambulation)
- prevent complications of an illness or procedure (ex: UTIs)
- provide a safe and comfortable environment (ex: nurses are mandated reporters for
older adults)
- promote health and wellness (ex: establish a baseline before treatment/rehabilitation)
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